This common type of counseling addresses thoughts, feelings and behaviors that affect your mood. Psychotherapy for depression may include: As with medications, it may take several tries to find a treatment that works. If counseling doesn't seem helpful, talk to your psychotherapist about trying a different approach. Learn how to reduce the effects of stress in your life.Manage relationships in a healthier way.Find better ways to cope with life's challenges.These tests are not always covered by insurance. Currently, pharmacogenetics tests are not a sure way to show if a medication will work for you, but these tests can provide important clues for treatment, particularly in people who have many side effects or have had poor results with certain medications. These tests check for specific genes that indicate how well your body can process (metabolize) a medication or how your depression might respond to a particular medication based on additional factors. This approach, known as augmentation, may include antipsychotics, mood stabilizers, anti-anxiety medications, thyroid hormone or other drugs. Your doctor may prescribe a medication that's generally used for another mental or physical health problem, along with an antidepressant. Add a medication generally used for another condition.These chemicals are neurotransmitters that include dopamine, serotonin and norepinephrine. That way they'll affect a wider range of brain chemicals linked to mood. Your doctor may prescribe two different classes of antidepressants at the same time. You may need to try several before you find one that works for you. For a number of people, the first antidepressant tried isn't effective. Ask your doctor whether this is an option for you - don't change your dose on your own as several factors are involved in determining the proper dose. Because people respond to medications differently, you may benefit from a higher dose of medication than is usually prescribed. Antidepressants and other medications for depression typically take four to eight weeks to become fully effective and for side effects to ease up. Give your current medications more time.Treatment-resistant depression symptoms can range from mild to severe and may require trying a number of approaches to identify what helps. Consider a diagnosis of another mental health condition, such as bipolar disorder, which can cause or worsen depression and may require different treatment dysthymia, a mild but long-term (chronic) form of depression or a personality disorder that contributes to the depression not getting better.Consider physical health conditions that can sometimes cause or worsen depression, such as thyroid disorders, chronic pain or heart problems.Discuss whether you're taking your medications as prescribed and following other treatment steps.Review all of the medications you're taking, including nonprescription drugs and herbal supplements.Consider your response to treatment, including medications, psychotherapy or other treatments you've tried.Ask about life situations that might be contributing to your depression. The psychiatrist reviews your medical history and may: If your primary care doctor prescribed antidepressants and your depression symptoms continue despite treatment, ask your doctor if he or she can recommend a health care provider who specializes in diagnosing and treating mental health conditions.
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